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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERMIT APPLICATION CR#: <br /> APPLICANT OFFICE USE ONLY <br /> Name: g6;J <br /> Address: Z Z Z Pa T JOB#: 11005 ISSUE DATE: <br /> City,State, ip Code: APN FEE DUE: <br /> Area Code -Telephone Number.6n:::, Z, EXP.DATE. DRIVEWAYS: <br /> STREET: <br /> 1-14 CA C4 <br /> SITE INFORMATION: AREA: QUAD — <br /> Parcel Owner's Name: AN&, eq TYPE: <br /> Site Address: 2 L- Gt I7 FORMS: /tdke6_ <br /> City,State,Zip Code: NOTES: <br /> Area Cade -Telephone Number <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: _5 — S _ AGRICULTURE FRONTAGE <br /> Address: 4� COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: <br /> Area Code -Telephone Number: 21 — RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Th undersigned hereby ap lies for permissiono excavate,construct and/or otherwise encroach on County way Right-of-Way on the <br /> ma side of u A approximately :i,-35_/ mile <br /> of by installing it? <br /> IV h1 1 <br /> _Work will <br /> commence on or about r U for approximately days. <br /> 1 11 <br /> SKETCH(Separate sheet may be submitted) <br /> S cc WeE� <br /> Will this project be self-installed? YES NO Contractor's License <br /> If <br /> M:4CENtP.ALSF.RVICF.SICLERlCALlPUB.SV.WKUTASTER.PS�ENCROACHbiENT PERMIT ORIVeNAY.DCC (09(13} Page 1012 <br />